Oral & Maxillofacial Surgery, Orthodontics and Restorative Dentistry
Oral & Maxillofacial Surgery
The Oral & Maxillofacial Surgery service offers a comprehensive and efficient outpatient and surgical service. The out-patient service is based within a dedicated department which incorporates minor treatment facilities.
A substantial proportion of operative procedures are undertaken as day cases in our Day Surgery Unit at the Princess Royal, Bromley.
Patients requiring emergency and inpatient care have been transferred to Queen Mary's, Sidcup. The osteotomy and medically compromised cases are now treated on this site.
A comprehensive and efficient orthodontic service is provided on the Queen Mary’s Sidcup site Monday to Thursday each week. The provision of modern orthodontic equipment enables a rapid consultation service in all aspects of orthodontics. The Orthodontic team is lead by 3 part time consultants. Specialist registrars, senior registrars (FTTAs) linked to King's College Hospital and part time speciality doctors help to provide this service.
NHS orthodontic treatment is provided for patients who are graded 4 & 5 on the Index of Orthodontic Treatment Need (IOTN). Digital imaging software has been installed to aid treatment planning. In addition, the department provides multidisciplinary orthodontic treatment as seen below:
The department provides joint orthodontic treatment with alignment of the jaws for those patients with dentofacial anomlies. At present there are approximately 1-2 orthognathic surgical procedures taking place every week. Two orthognathic clinics are held every month to plan patient's facial surgery. They involve mainly the consultants in Orthodontics and Oral & Maxillofacial Surgery.
Hypodontia (congentially missing teeth)
This service is provided by the consultants in orthodontics and Restorative Dentistry. A regular joint consultant clinic is held to plan orthodontic treatment to provide the correct space to replace the missing teeth. This service is expanding.
Cleft Lip +/- Palate and craniofacial anamolies
A hub and spooks service is provided at QMS. The 'hub' is at the South Thames Cleft Service based at Guy's Hospital, where treatment planning takes place. At present a small cohort of patients are being treated in the department.
Presently we have a limited Restorative treatment service on the Queen Mary’s Sidcup site for the patients requiring multidisciplinary care with either our Orthodontic and/or Maxillofacial surgeons.
This means the following groups of patients have priority:
- Severe hypodontia (more than six congenitally missing teeth)
- Cleft lip and palate and Craniofacial abnormalities
We can however, offer an ADVISORY service for the following specialities:
Fixed and removable prosthodontics
This deals mainly with the prosthetic replacement of hard and soft tissues using crowns, bridges, dentures and implants, including patients with severe tooth wear and amelogenesis/dentinogenesis imperfecta cases. Please note that the provision of implant therapy is subject to local Primary Care Trust protocols.
This includes the treatment of patients with severe gum disease(BPE scores of 3 and 4), bone and soft tissue grafting around teeth, dental implants, and drug-induced gingival overgrowth.
This includes injuries to and diseases of the pulp and periradicular region, that can not be undertaken in practice, eg complex root curvature, perforations, seperated instruments, apicectomies.
If you require a Consultant opinion and advice on treatment planning for RESTORATIVE patients, then please provide the following documentation in your referral letter
- Full medical history
- Comprehensive periodontal charting
- Appropriate diagnostic radiographs.
Orpington, Princess Royal University and Queen Mary's, Sidcup sites
UPDATED AUGUST 2011